Individual
CAROLINE ELLEN VAN PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
150 PIKE ST, PORT JERVIS, NY 12771-1867
(845) 858-3100
Mailing address
PO BOX 50, GLEN SPEY, NY 12737-0050
(717) 669-4101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030748
NY
Other
Enumeration date
09/03/2021
Last updated
08/23/2023
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